Page 49 - Living-on-the-frontline-of-COVID-19-in-MCO-and-CMCO

Case 1

This is a lady, 49 years old. She is a non-smoker. She has bronchial asthma and

confirmed COVID-19 positive. Initially she was intubated in another hospital for
asthma for a day and was transferred over and managed to be extubated. Since she

was COVID-19 positive, she was treated with hydroxychloroquine and Favipiravir.
However, she has a slow persistent viral shedding. So, that's the reason why she
was still in the hospital for up to three weeks. She was desaturated one day in the 3 rd

week of illness. She was started on IV hydrocortisone based on a report of her CT
scan.

Diagram 9: Lung CT scan finding of case 1 by Dr. Syazatul Syakirin binti Sirol Aflah,
Institute of Respiratory Medicine, KL.

This is her CT scan (diagram 9) at the 3rd week of illness where she had virus
shading. Even though it was positive, it is not infectious. This is a residual lung

damage that occurred in the COVID-19 patient. There was peripheral